| Organization Name: | MY FAMILY MEDICAL, LLC |
| NPI Number: | 1114932761 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KELLEY MATUSIC (OWNER) |
| Mailing Address: | 1101 Hospital Dr Suite 101 Hurricane |
| State: | WV US |
| Postal Code: | 255268711 |
| Phone Number: | 3047571902 |
| Fax Number: | 3047571904 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 12/14/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BX2000X |
| License Number: | 784978 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Oxygen Equipment & Supplies |
| Taxonomy Definition: | |